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These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:04,162 WWW.MY-SUBS.CO 1 00:00:07,181 --> 00:00:08,680 ...fifty. 2 00:00:10,271 --> 00:00:11,402 Okay. 3 00:00:12,490 --> 00:00:14,241 That should not have been so hard. 4 00:00:14,265 --> 00:00:15,730 You're getting old, Pops. 5 00:00:15,754 --> 00:00:17,254 Thirty-one is not old. 6 00:00:17,278 --> 00:00:18,864 It is in parent years. 7 00:00:18,888 --> 00:00:20,150 They're like dog years. 8 00:00:20,933 --> 00:00:21,954 Damn you! 9 00:00:21,978 --> 00:00:23,651 Why won't you let us sleep? 10 00:00:23,675 --> 00:00:25,610 We shouldn't curse in front of him. 11 00:00:25,634 --> 00:00:27,003 We didn't. 12 00:00:27,027 --> 00:00:30,397 And he's obviously gonna be a rock star. 13 00:00:30,421 --> 00:00:33,903 So might as well get used to hanging out with lowlifes. 14 00:00:35,078 --> 00:00:36,558 He screams like Axl Rose. 15 00:00:37,602 --> 00:00:39,369 And he's definitely a night owl. 16 00:00:39,393 --> 00:00:41,278 Crying uses the vocal-fold muscles 17 00:00:41,302 --> 00:00:43,062 very differently than singing. 18 00:00:43,086 --> 00:00:45,195 And lots of jobs work at night. 19 00:00:45,219 --> 00:00:48,024 Janitors, truck drivers, polysomnographic technologists. 20 00:00:48,048 --> 00:00:51,027 All I know, with those eyes and that smile, 21 00:00:51,051 --> 00:00:52,593 no way he ends up in any job 22 00:00:52,617 --> 00:00:55,706 that doesn't involve being swarmed by supermodels. 23 00:00:56,230 --> 00:00:58,542 Of whatever the hell gender he prefers. 24 00:00:59,233 --> 00:01:01,950 I think we may need to get a swear jar. 25 00:01:03,541 --> 00:01:05,128 Wouldn't work. 26 00:01:05,152 --> 00:01:06,414 Ask my dad. 27 00:01:09,112 --> 00:01:10,829 I'm sorry. I just don't get what the big deal is. 28 00:01:10,853 --> 00:01:11,960 I've never even met your niece. 29 00:01:11,984 --> 00:01:13,049 Yeah, because you've turned down 30 00:01:13,073 --> 00:01:15,007 every invite to a family gathering. 31 00:01:15,031 --> 00:01:16,269 Okay. I've just been really busy lately. 32 00:01:16,293 --> 00:01:17,749 Last time my brother had a barbecue, 33 00:01:17,773 --> 00:01:20,230 you went to a karaoke bar with Jordan instead. 34 00:01:20,254 --> 00:01:22,449 That is not true. 35 00:01:22,473 --> 00:01:25,027 - It was an ax-throwing bar. - Ash. 36 00:01:25,607 --> 00:01:28,455 I've gone out of my way to be sensitive to your family history. 37 00:01:28,479 --> 00:01:29,630 Mine is different. 38 00:01:29,654 --> 00:01:31,067 We're all super close. 39 00:01:31,091 --> 00:01:34,286 And... And this is a big deal. It's her confirmation. 40 00:01:35,138 --> 00:01:37,986 I'm not asking you to go to the church service. Just the after party. 41 00:01:38,010 --> 00:01:39,336 I can't tomorrow night. 42 00:01:39,360 --> 00:01:41,101 I have a ton of work to catch up on. I gotta go. 43 00:01:42,282 --> 00:01:45,241 Good morning. I'm Dr. Shaun Murphy. 44 00:01:45,266 --> 00:01:47,703 This is Dr. Kalu and Doctor... 45 00:01:47,728 --> 00:01:49,165 It smells like a brewery in here. 46 00:01:49,196 --> 00:01:51,565 Sorry. We had a party at our fraternity last night. 47 00:01:51,589 --> 00:01:53,915 Um, I was gonna shower, but my roommates, 48 00:01:53,939 --> 00:01:55,526 they insisted I go to the ER immediately. 49 00:01:55,550 --> 00:01:57,397 I-I can't hear out of my left ear. 50 00:01:57,421 --> 00:01:58,572 When did you lose... 51 00:01:58,596 --> 00:02:00,400 Miss Lukaitis is one of our med students. 52 00:02:00,424 --> 00:02:02,576 She is here to observe. 53 00:02:02,600 --> 00:02:04,709 Med students do not take patient histories 54 00:02:04,733 --> 00:02:06,058 unless directed to. 55 00:02:06,082 --> 00:02:08,321 I wasn't taking a history. 56 00:02:08,345 --> 00:02:10,260 I see you got into a fight last night? 57 00:02:10,533 --> 00:02:12,630 No. It was... It was a drinking game. 58 00:02:12,654 --> 00:02:14,980 You take turns slapping each other in the face 59 00:02:15,004 --> 00:02:17,417 and whoever flinches, they have to drink. 60 00:02:17,441 --> 00:02:19,071 - Sounds fun. - Yeah. 61 00:02:19,095 --> 00:02:20,958 I woke up with an insane headache. 62 00:02:22,011 --> 00:02:23,684 I think I ruptured my eardrum. 63 00:02:23,708 --> 00:02:26,209 I slapped my friend the other day to treat his hemophobia. 64 00:02:26,233 --> 00:02:27,688 It seemed safe, but I'm probably not as strong... 65 00:02:27,712 --> 00:02:29,734 There's bilateral otitis externa 66 00:02:29,758 --> 00:02:32,630 and significant cerumen blockage. 67 00:02:32,886 --> 00:02:34,173 Cerumen? 68 00:02:34,197 --> 00:02:37,089 Yeah, you have an ear infection and a lot of earwax. 69 00:02:37,113 --> 00:02:38,656 Oh. 70 00:02:38,680 --> 00:02:40,962 Whoa. What happened here? 71 00:02:40,986 --> 00:02:42,094 Ooh. 72 00:02:42,118 --> 00:02:44,444 Oh, it's nothing. It's just a bruise. 73 00:02:44,468 --> 00:02:45,991 Take more than a slap to cause that. 74 00:02:46,248 --> 00:02:47,970 One of the guys in my fraternity 75 00:02:47,994 --> 00:02:49,841 has one of those foam-round shotguns 76 00:02:49,865 --> 00:02:52,322 that the police use for riot control. 77 00:02:52,346 --> 00:02:54,913 Um, so we were testing it out on each other. 78 00:02:55,700 --> 00:02:56,962 - Mm. - Mm. 79 00:02:57,089 --> 00:02:59,242 Flush the ears with warm saline 80 00:02:59,266 --> 00:03:01,200 and administer polymyxin B drops. 81 00:03:01,224 --> 00:03:03,115 Then get X-rays to rule out a broken rib. 82 00:03:03,139 --> 00:03:05,422 You can go with them. 83 00:03:05,446 --> 00:03:07,293 I'd rather continue to shadow you. 84 00:03:07,317 --> 00:03:08,773 I already know how to clear out earwax and... 85 00:03:08,797 --> 00:03:10,015 Go with them. 86 00:03:11,191 --> 00:03:12,777 43-year-old male, 87 00:03:12,801 --> 00:03:14,518 hand and arm caught in a meat grinder. 88 00:03:14,542 --> 00:03:16,520 - Bay 6. - Okay. Got it? 89 00:03:16,544 --> 00:03:18,130 We got it from here. Thanks. 90 00:03:21,549 --> 00:03:22,656 Can you move your fingers? 91 00:03:22,680 --> 00:03:23,744 I-I'm not sure. 92 00:03:23,768 --> 00:03:25,050 Get a BP cuff on his other arm. 93 00:03:25,074 --> 00:03:26,132 How'd it happen? 94 00:03:26,156 --> 00:03:28,662 - I manage a food processing factory. - You got it upside down. 95 00:03:28,686 --> 00:03:31,187 I was demonstrating how to clean the meat grinder 96 00:03:31,211 --> 00:03:33,406 when an apprentice butcher 97 00:03:33,430 --> 00:03:35,626 decided to turn the breaker back on. 98 00:03:35,650 --> 00:03:37,478 I hate new employees. 99 00:03:37,784 --> 00:03:39,568 Worse than worthless. 100 00:03:41,177 --> 00:03:42,578 Oh, my God. 101 00:03:42,602 --> 00:03:45,225 Get me an ortho-powered driver with a 4 millimeter hex head. 102 00:03:46,661 --> 00:03:47,942 Get the double-action rongeur 103 00:03:47,966 --> 00:03:49,794 so you can use it to pull off the grill. 104 00:04:03,883 --> 00:04:05,873 Just skin and flesh. I don't see any bone. 105 00:04:05,897 --> 00:04:07,092 Oh, thank God. 106 00:04:11,816 --> 00:04:14,230 He's just... new. 107 00:04:15,491 --> 00:04:23,491 Synced & corrected by -robtor- www.MY-SUBS.com 108 00:04:25,221 --> 00:04:26,590 Thanks for the walk invite. 109 00:04:26,614 --> 00:04:28,113 I keep planning to exercise, 110 00:04:28,137 --> 00:04:30,463 but then I wake up feeling like a broken-down old boxer. 111 00:04:30,487 --> 00:04:31,899 Ugh, I know the feeling, 112 00:04:31,923 --> 00:04:33,308 and I didn't even go through childbirth. 113 00:04:33,333 --> 00:04:34,725 Babies are damn hard work. 114 00:04:34,750 --> 00:04:36,828 Yeah. Damn hard. Thank you. 115 00:04:38,588 --> 00:04:39,676 I've been wanting to talk to you. 116 00:04:41,106 --> 00:04:42,388 I'm creating a living trust 117 00:04:42,412 --> 00:04:43,824 to make sure Eden's taken care of. 118 00:04:43,848 --> 00:04:46,349 And I'd like to name you and Shaun as Eden's guardians 119 00:04:46,373 --> 00:04:47,678 if Park and I die. 120 00:04:47,950 --> 00:04:48,995 Wow. I'm... 121 00:04:50,768 --> 00:04:51,832 I'm flattered. 122 00:04:51,856 --> 00:04:53,834 You and Shaun are great together. 123 00:04:53,858 --> 00:04:58,167 And given Eden's special needs, you guys are a perfect choice. 124 00:04:59,211 --> 00:05:00,409 Thank you. 125 00:05:00,822 --> 00:05:02,035 That... 126 00:05:02,476 --> 00:05:04,042 That means a lot to me. 127 00:05:05,174 --> 00:05:06,915 And I'll talk to Shaun about it tonight. 128 00:05:15,097 --> 00:05:16,185 I'm sorry. 129 00:05:18,535 --> 00:05:19,803 It's okay. 130 00:05:20,711 --> 00:05:23,081 I got a few minutes till the patient's sedatives take effect. 131 00:05:23,105 --> 00:05:26,476 I've tried every antiemetic I could find. 132 00:05:26,500 --> 00:05:28,430 Even started wearing this here wristband, 133 00:05:28,454 --> 00:05:30,504 but nothing works. 134 00:05:31,957 --> 00:05:35,047 I was a cop for 15 years before med school. 135 00:05:35,160 --> 00:05:37,661 Saw a lot of rookies lose their lunch at a crime scene, 136 00:05:37,685 --> 00:05:39,576 but never met one who didn't get used to it. 137 00:05:39,600 --> 00:05:41,341 It'll become just part of the routine. 138 00:05:42,596 --> 00:05:44,337 I just got to get through this rotation. 139 00:05:46,921 --> 00:05:48,801 Hey, if you want to sit this one out, I'm fine. 140 00:05:49,165 --> 00:05:52,168 You can hit the skills lab, practice suturing. 141 00:05:53,835 --> 00:05:55,924 Before I went to med school, 142 00:05:55,949 --> 00:05:57,211 I was a D-1 tackle. 143 00:05:58,445 --> 00:06:00,466 Two most important things I learned is, 144 00:06:00,490 --> 00:06:02,947 it's better to give than to receive, 145 00:06:02,971 --> 00:06:04,146 and quitters never win. 146 00:06:06,322 --> 00:06:07,371 Good. 147 00:06:07,845 --> 00:06:09,325 Then let's go save a hand. 148 00:06:21,511 --> 00:06:22,783 What are you doing? 149 00:06:22,808 --> 00:06:25,419 I mean, besides forgetting about this morning's board meeting. 150 00:06:25,776 --> 00:06:28,015 I didn't forget about this morning's board meeting. 151 00:06:28,039 --> 00:06:29,452 So we're still doing this? 152 00:06:29,476 --> 00:06:31,628 No, I didn't skip the meeting to prank you. 153 00:06:31,652 --> 00:06:33,960 I did it to be here for the delivery. 154 00:06:34,698 --> 00:06:36,589 A gift for both of us. 155 00:06:36,613 --> 00:06:37,614 Ta-da! 156 00:06:38,803 --> 00:06:41,719 You prefer to stay in your office, right? 157 00:06:41,744 --> 00:06:43,311 And I'm certainly not going to leave the clinic. 158 00:06:43,336 --> 00:06:46,252 So I thought, why not convert the president's office 159 00:06:46,277 --> 00:06:47,539 into the president's lounge? 160 00:06:47,564 --> 00:06:48,739 Sorry. 161 00:06:48,764 --> 00:06:49,939 Co-Presidents' Lounge. 162 00:06:49,974 --> 00:06:51,735 Oh, might as well add a putting green 163 00:06:51,759 --> 00:06:53,345 and a wine cellar while you're at it. 164 00:06:53,369 --> 00:06:55,391 I work better with a pool table. 165 00:06:55,415 --> 00:06:56,483 Great. 166 00:06:56,508 --> 00:06:58,835 The board had a list of issues they want addressed ASAP, 167 00:06:58,860 --> 00:07:00,905 and since I actually attended the meeting, 168 00:07:01,072 --> 00:07:02,247 I get to divvy them up. 169 00:07:04,337 --> 00:07:05,338 Your half. 170 00:07:09,037 --> 00:07:10,667 He's a cutie. 171 00:07:10,691 --> 00:07:11,798 He's a moron. 172 00:07:11,822 --> 00:07:14,125 When I'm fantasizing about him tonight, 173 00:07:14,150 --> 00:07:17,066 I'm not gonna be picturing him helping me study for bio-chem. 174 00:07:17,091 --> 00:07:19,920 Uh, that is not something we needed to know. 175 00:07:19,945 --> 00:07:21,163 He's kind of got a Peter Parker vibe, 176 00:07:21,188 --> 00:07:22,929 which is exactly my type. 177 00:07:23,094 --> 00:07:24,970 How about you guys? What's your type? 178 00:07:25,401 --> 00:07:27,945 Uh, we should probably just focus. 179 00:07:27,969 --> 00:07:29,947 I bet you like tall women. 180 00:07:29,971 --> 00:07:31,862 - Uh-huh. - Uh... 181 00:07:33,365 --> 00:07:37,215 I like sweet, handsome, caring, and, yes, tall men. 182 00:07:37,239 --> 00:07:38,695 You're gay? 183 00:07:38,719 --> 00:07:40,436 Right on. Top or bottom? 184 00:07:40,460 --> 00:07:41,852 Oh, wow. Charlie... 185 00:07:43,151 --> 00:07:45,109 you're not in your med-school study group, okay? 186 00:07:45,134 --> 00:07:47,093 That is an inappropriate question for a co-worker. 187 00:07:47,118 --> 00:07:48,902 You could be fired. 188 00:07:48,946 --> 00:07:50,228 Employers have to consider 189 00:07:50,252 --> 00:07:52,012 my neurodiverse communication style. 190 00:07:52,036 --> 00:07:54,058 No one should be forced to change who they are 191 00:07:54,082 --> 00:07:55,712 to be considered more professional. 192 00:07:55,736 --> 00:07:57,975 Well, I'd suggest checking in with HR. 193 00:07:57,999 --> 00:08:00,922 They may have a different idea of reasonable accommodations. 194 00:08:01,481 --> 00:08:04,074 People at work talk about their relationships all the time. 195 00:08:04,099 --> 00:08:05,753 Asking about someone's relationship's 196 00:08:05,778 --> 00:08:07,127 a little different than asking about 197 00:08:07,152 --> 00:08:08,243 their preferred sexual position. 198 00:08:08,268 --> 00:08:10,267 The expression doesn't refer solely to sexual positions. 199 00:08:10,315 --> 00:08:11,683 No rib fractures. 200 00:08:13,314 --> 00:08:14,663 But... 201 00:08:16,365 --> 00:08:17,734 what is that? 202 00:08:21,892 --> 00:08:23,403 The bleeding's stopped. 203 00:08:23,428 --> 00:08:25,038 The blades are acting like a tourniquet. 204 00:08:25,417 --> 00:08:27,004 We need to get this hand out 205 00:08:27,028 --> 00:08:28,875 before his fingers get necrotic. 206 00:08:28,899 --> 00:08:32,052 What if we pull his arm while manually turning the blades in reverse? 207 00:08:32,076 --> 00:08:34,054 Could grind up whatever's stuck even more. 208 00:08:34,078 --> 00:08:35,403 We have to cut the machine open. 209 00:08:35,427 --> 00:08:38,406 How? The Jaws of Life are way too big, 210 00:08:38,430 --> 00:08:41,061 and a saw could cut his arm or overheat the metal. 211 00:08:41,085 --> 00:08:43,499 Not if you irrigate with cold saline as I work. 212 00:08:43,523 --> 00:08:45,196 I'll go just deep enough to weaken the metal, 213 00:08:45,220 --> 00:08:46,830 and then we'll break it apart with a rib spreader. 214 00:08:47,688 --> 00:08:48,745 Brilliant. 215 00:08:48,770 --> 00:08:50,679 Get me an ortho oscillating saw with a metal cutting blade. 216 00:08:57,020 --> 00:08:58,897 It's a very irregular shape. 217 00:09:00,747 --> 00:09:03,053 Could be an intramural abscess in his esophagus. 218 00:09:03,078 --> 00:09:05,864 The contrast enhancement wouldn't be so uniform. 219 00:09:06,482 --> 00:09:08,571 Yes, that is true. 220 00:09:08,596 --> 00:09:10,511 What about an esophageal cancer? 221 00:09:10,593 --> 00:09:12,353 That would be unusual. 222 00:09:12,377 --> 00:09:14,641 - He is very young and... - A nonsmoker. 223 00:09:17,208 --> 00:09:19,186 I'm confident we can excise the mass, 224 00:09:19,210 --> 00:09:21,537 but we need to do an esophagogastroduodenoscopy 225 00:09:21,561 --> 00:09:23,103 and biopsy first. 226 00:09:23,127 --> 00:09:25,149 I have no idea what that is, but it sounds awesome. 227 00:09:25,173 --> 00:09:26,261 Please do it now. 228 00:09:30,004 --> 00:09:31,895 Uh, Charlie? 229 00:09:31,919 --> 00:09:33,000 Hmm? 230 00:09:33,024 --> 00:09:34,941 Uh, it might be better trying to be your authentic self 231 00:09:34,965 --> 00:09:36,967 without repeatedly interrupting your boss. 232 00:09:39,706 --> 00:09:42,650 Thank you, Dr. Kalu. I appreciate the advice. 233 00:09:46,721 --> 00:09:48,157 I think you may need to go deeper. 234 00:09:48,182 --> 00:09:50,181 I can't risk popping through and cutting the radial. 235 00:09:50,206 --> 00:09:51,825 Park, he's bleeding again. 236 00:09:52,039 --> 00:09:54,302 Should you do a vascular cut down and temporary ligation? 237 00:09:54,327 --> 00:09:55,676 No, it's been too long already. 238 00:09:55,701 --> 00:09:57,050 We need to get this thing open. 239 00:10:00,128 --> 00:10:02,000 - Come on. Give me a hand. - I-I can't. 240 00:10:02,036 --> 00:10:04,144 Yes, you can. Just close your eyes. Pretend you're at the gym. 241 00:10:04,168 --> 00:10:06,297 - Come on. - Come on. 242 00:10:06,877 --> 00:10:08,383 All right. Go, go, go, go, go, go, go! 243 00:10:10,435 --> 00:10:12,095 Keep going. It's working. 244 00:10:12,432 --> 00:10:14,129 - Pull, pull, pull! - It's loose! 245 00:10:18,313 --> 00:10:19,444 Lap sponges! 246 00:10:20,968 --> 00:10:23,424 Severe contamination of hand and forearm, 247 00:10:23,448 --> 00:10:24,817 arteries are trashed. 248 00:10:24,841 --> 00:10:27,646 Major vascular gaps, radius and ulna are crushed. 249 00:10:27,670 --> 00:10:28,908 Get the OR prepped. 250 00:10:28,932 --> 00:10:30,649 We're gonna have to amputate it. 251 00:10:32,604 --> 00:10:34,826 Advancing down the esophageal lumen. 252 00:10:36,636 --> 00:10:37,700 Do you have a boyfriend? 253 00:10:37,724 --> 00:10:39,963 Yes. 254 00:10:39,987 --> 00:10:42,487 Approaching the gastroesophageal junction. 255 00:10:42,511 --> 00:10:44,078 Is he tall? 256 00:10:45,175 --> 00:10:46,220 Can we talk about this later? 257 00:10:46,245 --> 00:10:47,551 Or not at all. 258 00:10:48,996 --> 00:10:50,133 Doesn't make sense. 259 00:10:51,740 --> 00:10:54,047 Dr. Kalu thinks I'm being too intrusive, 260 00:10:54,088 --> 00:10:55,848 but I'm actually trying to establish a rapport. 261 00:10:55,872 --> 00:10:58,016 I wasn't talking about him or you. 262 00:10:59,173 --> 00:11:00,609 I meant the mass. 263 00:11:03,023 --> 00:11:04,328 It's gone. 264 00:11:09,656 --> 00:11:11,396 This doesn't make sense. 265 00:11:11,421 --> 00:11:12,858 That's exactly what Dr. Wolke said. 266 00:11:12,883 --> 00:11:16,016 The esophageal mass was definitely on the X-ray. 267 00:11:16,041 --> 00:11:17,434 And on the neck CT. 268 00:11:17,459 --> 00:11:19,156 But nowhere on the endoscopy. 269 00:11:19,181 --> 00:11:21,096 - Maybe we should repeat all the tests? - No. 270 00:11:21,158 --> 00:11:23,484 - We could... - I can't concentrate 271 00:11:23,508 --> 00:11:25,617 if you keep interrupting me. 272 00:11:25,641 --> 00:11:26,749 I didn't interrupt you. 273 00:11:26,773 --> 00:11:28,707 I asked you a question. You said no, 274 00:11:28,731 --> 00:11:30,143 so I attempted to make a suggestion, 275 00:11:30,167 --> 00:11:31,449 then you interrupted me. 276 00:11:31,473 --> 00:11:35,095 Could you please just be quiet? 277 00:11:37,044 --> 00:11:38,045 Okay. 278 00:11:40,438 --> 00:11:41,894 Okay. 279 00:11:49,230 --> 00:11:51,599 He's disoriented and slurring his speech. 280 00:11:51,623 --> 00:11:53,950 Phipps, do you know where you are right now? 281 00:11:53,974 --> 00:11:57,214 Um, I go to San Jose State University. 282 00:11:57,238 --> 00:11:59,738 He is disoriented, but no longer slurring. 283 00:11:59,762 --> 00:12:00,913 - It was worse before. - Okay. 284 00:12:00,937 --> 00:12:02,372 Squeeze my fingers. 285 00:12:03,826 --> 00:12:06,176 - Right-side weakness. - We should prep a bolus dose of TPA. 286 00:12:06,201 --> 00:12:07,855 No, we should not do that. 287 00:12:07,880 --> 00:12:09,403 Can you wiggle your toes? 288 00:12:09,428 --> 00:12:10,778 But if he's having a stroke... 289 00:12:10,803 --> 00:12:12,239 His speech is improving, 290 00:12:12,264 --> 00:12:14,527 which makes a transient ischemic attack more likely. 291 00:12:14,552 --> 00:12:16,249 And you ordered a nurse to prep an unindicated 292 00:12:16,300 --> 00:12:17,800 and very risky medication. 293 00:12:17,824 --> 00:12:19,186 I didn't order her, just making a suggestion. 294 00:12:19,210 --> 00:12:20,598 Get out. 295 00:12:21,001 --> 00:12:21,949 What? 296 00:12:21,973 --> 00:12:23,544 You refuse to acknowledge you've made a mistake, 297 00:12:23,568 --> 00:12:26,006 which wastes my time and endangers our patient. 298 00:12:26,406 --> 00:12:28,756 Please leave the patient's room now. 299 00:12:30,924 --> 00:12:33,467 We need a head CT-CTA to confirm it's a TIA 300 00:12:33,491 --> 00:12:35,145 and not a brain bleed or tumor. 301 00:12:37,183 --> 00:12:38,227 Checking pupils. 302 00:12:46,504 --> 00:12:48,439 Ligation and sectioning of the viable arteries, 303 00:12:48,463 --> 00:12:49,832 veins, and nerves complete. 304 00:12:49,856 --> 00:12:51,118 Charriere. 305 00:12:56,926 --> 00:12:58,624 I'll make the bone cuts as distal as possible 306 00:12:58,649 --> 00:13:00,471 - on the forearm. - Dr. Park. 307 00:13:02,061 --> 00:13:04,280 I gotta leave. 308 00:13:08,904 --> 00:13:10,471 Maybe he should sit this one out. 309 00:13:11,791 --> 00:13:13,818 Bit of a worst-case scenario for him. 310 00:13:14,271 --> 00:13:16,578 I gave him the opportunity. He turned me down. 311 00:13:24,281 --> 00:13:27,434 Have you gotten Morgan's fecal-sample fridge installed? 312 00:13:27,458 --> 00:13:29,567 I thought the idea was to divide and conquer. 313 00:13:29,591 --> 00:13:33,223 You do your half of the honey-do list, and I do mine. 314 00:13:33,247 --> 00:13:35,529 Yes, but just FYI, 315 00:13:35,553 --> 00:13:37,096 Morgan needs the fridge installed 316 00:13:37,120 --> 00:13:39,446 before she starts screening for the IBS trial. 317 00:13:39,470 --> 00:13:40,578 Yes, I'm aware. 318 00:13:40,602 --> 00:13:41,971 Then I assume you're also aware 319 00:13:41,995 --> 00:13:43,799 that it needs a new electric panel, 320 00:13:43,823 --> 00:13:46,323 and that Gail has put a freeze on all facility upgrades. 321 00:13:46,347 --> 00:13:48,760 - Not my first rodeo. - Okay. 322 00:13:48,784 --> 00:13:50,177 And the other stuff on the list? 323 00:13:50,202 --> 00:13:52,799 I plan to ignore. You should do the same. 324 00:13:52,824 --> 00:13:55,565 - You're advising I ignore the board? - Yes. 325 00:13:55,660 --> 00:13:58,726 Much of their complaints are trivial in nature. 326 00:13:58,750 --> 00:14:01,294 They'll either work themselves out or disappear completely, 327 00:14:01,318 --> 00:14:03,775 which is good for us, because then we can do our actual jobs. 328 00:14:03,799 --> 00:14:05,429 The current board isn't as passive 329 00:14:05,453 --> 00:14:06,865 as the one you're used to dealing with. 330 00:14:06,889 --> 00:14:09,346 The current board has some newbies, yes, 331 00:14:09,370 --> 00:14:11,522 and they're very anxious to engage 332 00:14:11,546 --> 00:14:13,959 and nitpick over every little silly thing. 333 00:14:13,983 --> 00:14:16,130 But you know what? They'll learn. They always do. 334 00:14:17,160 --> 00:14:18,616 I have an actual patient waiting. 335 00:14:24,499 --> 00:14:26,631 Are we going in for a head CT? 336 00:14:26,656 --> 00:14:28,746 Doctors Wolke and Kalu are. 337 00:14:31,305 --> 00:14:33,761 You shouldn't have raised your voice to me like you did. 338 00:14:33,785 --> 00:14:35,720 I spoke with an urgency 339 00:14:35,744 --> 00:14:37,678 that was appropriate to the situation. 340 00:14:37,702 --> 00:14:39,376 It may be appropriate to some, 341 00:14:39,400 --> 00:14:40,812 but as a person on the spectrum, 342 00:14:40,836 --> 00:14:43,249 I don't do well when shouted at. 343 00:14:43,273 --> 00:14:45,368 I did not shout. 344 00:14:45,680 --> 00:14:46,942 I'm letting you know the parameters 345 00:14:46,967 --> 00:14:49,013 for communicating with me effectively. 346 00:14:49,038 --> 00:14:51,082 I'd appreciate your cooperation. 347 00:14:52,095 --> 00:14:53,619 I'll go join Doctors Wolke and Kalu. 348 00:14:53,644 --> 00:14:55,080 No. 349 00:14:55,329 --> 00:14:58,264 You will go to the skills lab 350 00:14:58,288 --> 00:15:00,092 and study stroke protocols and procedures 351 00:15:00,116 --> 00:15:01,572 for handling a TIA. 352 00:15:01,596 --> 00:15:02,921 I didn't do anything wrong. 353 00:15:18,221 --> 00:15:20,417 We didn't have to debride as much as I thought. 354 00:15:20,441 --> 00:15:22,723 And there's more than enough palmar and dorsal flaps 355 00:15:22,747 --> 00:15:23,855 to close the stump. 356 00:15:23,879 --> 00:15:25,726 - Checking my work? - No. 357 00:15:25,750 --> 00:15:27,685 Just rubbernecking. 358 00:15:27,709 --> 00:15:29,121 It's not every day you get to see 359 00:15:29,145 --> 00:15:31,558 a meat-grinder partial radial amputation. 360 00:15:31,582 --> 00:15:32,757 Thankfully. 361 00:15:33,124 --> 00:15:35,084 But if I was checking, 362 00:15:35,108 --> 00:15:37,390 now that I have a better view of the injured area, 363 00:15:37,414 --> 00:15:39,915 the distal forearm vessels and nerves 364 00:15:39,939 --> 00:15:41,873 are actually better than I expected. 365 00:15:41,897 --> 00:15:43,309 If you could bridge those gaps, 366 00:15:43,333 --> 00:15:46,138 I'm wondering if you might be able to reattach it. 367 00:15:46,162 --> 00:15:47,966 Ischemic time is less than eight hours, 368 00:15:47,990 --> 00:15:51,056 and that's best case, which this isn't. 369 00:15:51,080 --> 00:15:53,015 Mm, not if there's a blood supply. 370 00:15:53,039 --> 00:15:55,060 You could graft it to his ankle, 371 00:15:55,084 --> 00:15:56,257 keep it perfused 372 00:15:56,281 --> 00:15:58,759 while you prep the forearm stump for replantation. 373 00:15:58,783 --> 00:16:00,109 You could really do that? 374 00:16:00,133 --> 00:16:02,154 We've built new ears on forearms. 375 00:16:02,178 --> 00:16:04,200 Wrist anatomy is a lot more complex. 376 00:16:04,224 --> 00:16:06,637 And if we spread an infection to his leg, 377 00:16:06,661 --> 00:16:08,924 he could end up losing two limbs instead of just one. 378 00:16:08,948 --> 00:16:12,208 We could reduce the risk by planting antibiotic beads in the wounds. 379 00:16:12,232 --> 00:16:13,537 Yeah, but not eliminate it. 380 00:16:14,930 --> 00:16:16,105 Your call. 381 00:16:19,021 --> 00:16:20,880 Prep and drape his left ankle. 382 00:16:21,415 --> 00:16:22,870 Want a second set of hands? 383 00:16:22,894 --> 00:16:24,568 Absolutely. 384 00:16:24,592 --> 00:16:26,962 But don't you have a hospital to run? 385 00:16:26,986 --> 00:16:28,888 That's what co-presidents are for. 386 00:16:30,380 --> 00:16:33,881 CT-CTA doesn't show any blockages 387 00:16:33,905 --> 00:16:35,579 or atherosclerosis. 388 00:16:37,257 --> 00:16:40,540 I'm starting to think this might not be a stroke or a TIA. 389 00:16:40,564 --> 00:16:42,151 The neuro symptoms didn't start 390 00:16:42,175 --> 00:16:44,370 until after the esophageal mass disappeared. 391 00:16:44,394 --> 00:16:46,531 Uh, not true. 392 00:16:46,791 --> 00:16:49,707 No, he came to the ER with neurological symptoms, 393 00:16:49,732 --> 00:16:51,560 a headache, and hearing loss. 394 00:16:51,662 --> 00:16:53,118 Which isn't surprising, 395 00:16:53,142 --> 00:16:55,947 given he let his idiot friends slap him upside the head. 396 00:16:55,971 --> 00:16:57,079 Mm. 397 00:16:57,103 --> 00:16:58,254 Speaking of idiots, 398 00:16:58,278 --> 00:17:00,086 you should go to the confirmation party. 399 00:17:01,629 --> 00:17:02,823 Jerome mentioned it. 400 00:17:02,847 --> 00:17:05,783 It's one party. You might actually have fun. 401 00:17:07,156 --> 00:17:08,810 Look, you love Jerome, right? 402 00:17:09,512 --> 00:17:11,832 Right. So what makes you think you wouldn't like his brothers? 403 00:17:13,119 --> 00:17:14,835 They play hockey. 404 00:17:14,859 --> 00:17:16,098 Didn't Jerome play hockey? 405 00:17:16,122 --> 00:17:17,447 Yes, as a kid, 406 00:17:17,471 --> 00:17:19,337 and not in something called the Beer League. 407 00:17:19,361 --> 00:17:22,060 This isn't about hockey or beer, is it? You're just afraid. 408 00:17:22,084 --> 00:17:24,628 I am not afraid. I'm actually... I'm very busy. 409 00:17:24,652 --> 00:17:26,863 Or you're scared they won't like you. 410 00:17:27,394 --> 00:17:29,502 Or that it's the next big step towards something 411 00:17:29,526 --> 00:17:31,409 you're still not sure you want. 412 00:17:32,138 --> 00:17:35,247 Thank you, Esther Perel, but I know exactly what I want. 413 00:17:35,271 --> 00:17:36,466 - Okay. - Okay. 414 00:17:36,490 --> 00:17:37,839 And I have it. 415 00:17:38,796 --> 00:17:40,513 Well, maybe you should consider 416 00:17:40,537 --> 00:17:42,776 making some sacrifices to hold on to it. 417 00:17:50,721 --> 00:17:52,786 Had a nice walk with Morgan today. 418 00:17:52,810 --> 00:17:54,788 She's preparing a living trust 419 00:17:54,812 --> 00:17:58,836 and would like us to be Eden's guardians if she and Park die. 420 00:17:58,860 --> 00:18:00,142 Okay. 421 00:18:00,166 --> 00:18:01,839 "Okay" you're fine with that plan, 422 00:18:01,863 --> 00:18:03,232 or "okay," you didn't hear a word I said 423 00:18:03,256 --> 00:18:05,538 because you're still obsessing about Charlie? 424 00:18:05,562 --> 00:18:07,801 I'm fine with Morgan's plan. 425 00:18:07,825 --> 00:18:09,803 I was thinking about Charlie, 426 00:18:09,827 --> 00:18:11,370 not obsessing. 427 00:18:11,394 --> 00:18:13,633 I can't work with her constantly interrupting me. 428 00:18:13,657 --> 00:18:15,896 She's a student, Shaun. She's excited. 429 00:18:15,920 --> 00:18:17,580 She's enthusiastic. 430 00:18:18,140 --> 00:18:20,814 Why does it matter if she is enthusiastic? 431 00:18:20,838 --> 00:18:22,555 She makes a lot of mistakes. 432 00:18:22,579 --> 00:18:24,989 Well, now's the time to make mistakes. She's a med student. 433 00:18:25,013 --> 00:18:27,386 Charlie refuses to admit she's made them, 434 00:18:27,410 --> 00:18:28,996 which means she cannot learn from them. 435 00:18:29,020 --> 00:18:30,433 Are you sure about that? 436 00:18:30,457 --> 00:18:31,738 Maybe she's embarrassed. 437 00:18:31,762 --> 00:18:33,479 Maybe you're being a little bit too rigid. 438 00:18:33,503 --> 00:18:35,699 You know, give her a chance to work things out. 439 00:18:35,723 --> 00:18:37,657 I have not been rigid. 440 00:18:37,681 --> 00:18:39,560 You're being rigid right now. 441 00:18:40,162 --> 00:18:43,576 Why don't you try being a little more patient? Right? 442 00:18:46,018 --> 00:18:48,716 I will... try to be more patient. 443 00:18:48,741 --> 00:18:50,221 Great. Let's eat. 444 00:18:55,873 --> 00:18:59,163 Ulnar to posterior tibial artery anastomosis complete. 445 00:18:59,527 --> 00:19:01,749 Sutured the main dorsal to the saphenous vein 446 00:19:01,774 --> 00:19:03,471 and created a fasciocutaneous flap 447 00:19:03,496 --> 00:19:05,368 to provide temporary coverage. 448 00:19:05,393 --> 00:19:08,352 Great. Then I think we're ready. 449 00:19:08,451 --> 00:19:10,212 Releasing the clamps. 450 00:19:21,872 --> 00:19:23,396 Awesome. 451 00:19:23,421 --> 00:19:24,683 Totally awesome. 452 00:19:32,954 --> 00:19:36,499 I understand you have a bit of a medical mystery on your hands. 453 00:19:36,523 --> 00:19:38,718 Yes, it is very interesting. 454 00:19:38,742 --> 00:19:40,179 How's your new med student? 455 00:19:41,180 --> 00:19:42,505 She talks too much, 456 00:19:42,529 --> 00:19:43,854 refuses to acknowledge mistakes, 457 00:19:43,878 --> 00:19:45,508 and doesn't like to read textbooks. 458 00:19:45,532 --> 00:19:47,205 That does sound like a challenge. 459 00:19:47,229 --> 00:19:50,121 Dr. Glassman said I should just be patient 460 00:19:50,145 --> 00:19:51,755 and give her time to adjust. 461 00:19:51,924 --> 00:19:53,603 Wrong. 462 00:19:53,627 --> 00:19:56,040 Glassman's favorite way to deal with a problem 463 00:19:56,064 --> 00:19:58,173 is to avoid it and then hope someone else solves it. 464 00:19:58,197 --> 00:20:00,641 You need to tell her precisely what you want her to do. 465 00:20:01,287 --> 00:20:02,612 I have done that. 466 00:20:02,636 --> 00:20:03,874 Well, do it again. 467 00:20:03,898 --> 00:20:07,182 She's young and faces communication challenges 468 00:20:07,206 --> 00:20:08,966 that you need to be sensitive to. 469 00:20:08,990 --> 00:20:12,012 All her recommendations say she's smart but stubborn, 470 00:20:12,036 --> 00:20:15,059 which, if managed properly, could be a great combination. 471 00:20:15,083 --> 00:20:16,234 You of all people should know that. 472 00:20:16,258 --> 00:20:19,392 Uh, why should I know that? 473 00:20:20,951 --> 00:20:24,564 Because you also arrived here smart but stubborn. 474 00:20:24,589 --> 00:20:27,113 You've become a great surgeon, and she will be, too. 475 00:20:27,138 --> 00:20:29,662 But for now, she's like a puppy that needs to be trained 476 00:20:29,706 --> 00:20:31,597 before all the bad habits take hold. 477 00:20:31,621 --> 00:20:34,276 So don't be patient, be proactive. 478 00:20:38,149 --> 00:20:39,472 Hmm. 479 00:20:39,934 --> 00:20:43,261 There's no cyanosis, severe edema, or venous stasis. 480 00:20:43,285 --> 00:20:45,045 Looks great. 481 00:20:45,069 --> 00:20:47,338 It looks gross. 482 00:20:47,362 --> 00:20:49,572 Don't worry. As soon as we clean up all the damage to your arm, 483 00:20:49,596 --> 00:20:51,008 it'll go back to where it belongs. 484 00:20:51,032 --> 00:20:53,402 Good, because I'm gonna need both hands 485 00:20:53,426 --> 00:20:54,881 to wring that butcher's neck. 486 00:20:54,905 --> 00:20:56,579 Dr. Park? 487 00:21:06,743 --> 00:21:07,875 What's wrong? 488 00:21:08,125 --> 00:21:10,941 There's some cellulitis at the forearm. 489 00:21:10,965 --> 00:21:12,638 But don't worry. You're on antibiotics, 490 00:21:12,662 --> 00:21:14,858 and we'll watch it closely until your next surgery. 491 00:21:18,929 --> 00:21:20,559 Sorry. I'm running late. 492 00:21:20,583 --> 00:21:22,518 It's like packing for the Lewis and Clark expedition 493 00:21:22,542 --> 00:21:24,215 every time I leave the house now. 494 00:21:24,239 --> 00:21:25,869 No worries. I got you an Americano. 495 00:21:25,893 --> 00:21:27,000 Thanks. 496 00:21:27,024 --> 00:21:29,271 Shaun agreed. We're good to go. 497 00:21:29,810 --> 00:21:31,091 One thing... 498 00:21:31,115 --> 00:21:33,006 I named you and Shaun as guardians 499 00:21:33,030 --> 00:21:35,859 if both Park and I die, but also if just I die. 500 00:21:37,818 --> 00:21:39,491 Why wouldn't Park be her guardian? 501 00:21:39,515 --> 00:21:41,319 Don't tell me you guys are on the rocks again. 502 00:21:41,343 --> 00:21:42,842 No, things are great. 503 00:21:42,866 --> 00:21:45,323 Actually, better than great. They're fantastic. 504 00:21:45,347 --> 00:21:47,064 So what's the problem? 505 00:21:47,088 --> 00:21:48,544 The last thing I want 506 00:21:48,568 --> 00:21:50,459 is for Eden to end up with an ex-boyfriend if I die. 507 00:21:50,483 --> 00:21:52,363 We've only been back together a couple months, 508 00:21:52,387 --> 00:21:54,289 so I'll revisit the plan in a year. 509 00:21:54,313 --> 00:21:56,029 Okay. I'll let Shaun know tonight. 510 00:21:56,053 --> 00:21:58,217 No, Shaun can't keep a secret. 511 00:21:59,515 --> 00:22:01,169 I haven't told Park, and I'm not going to. 512 00:22:01,194 --> 00:22:02,500 Are you insane? 513 00:22:02,525 --> 00:22:04,440 You can't lie to Park, and I can't lie to Shaun. 514 00:22:04,465 --> 00:22:06,423 It's not a lie. It's a secret. 515 00:22:06,455 --> 00:22:08,259 And every marriage has them. 516 00:22:08,283 --> 00:22:09,956 Uh, sure. 517 00:22:09,980 --> 00:22:11,981 Like how much I spend on hair color 518 00:22:12,006 --> 00:22:14,273 and how often I use his toothbrush, but this is too big. 519 00:22:14,311 --> 00:22:16,398 No, it's a tiny, temporary detail 520 00:22:16,422 --> 00:22:18,313 that's meaningless unless I die in the next 12 months, 521 00:22:18,337 --> 00:22:20,156 which isn't gonna happen. 522 00:22:20,643 --> 00:22:23,143 Please, just take a few days, think about it. 523 00:22:23,167 --> 00:22:24,386 That's all I'm asking. 524 00:22:25,815 --> 00:22:29,036 I'm not gonna change my mind, but okay. 525 00:22:31,437 --> 00:22:32,936 Head CT looks normal, 526 00:22:32,960 --> 00:22:34,285 but the abdominal images 527 00:22:34,309 --> 00:22:36,113 showed acalculous cholecystitis. 528 00:22:36,137 --> 00:22:39,856 Hmm. That wouldn't explain his neurological symptoms. 529 00:22:39,880 --> 00:22:41,423 But it does explain the fever 530 00:22:41,447 --> 00:22:43,425 and the abdominal pain he has now. 531 00:22:43,449 --> 00:22:46,253 We got another abdominal CT. 532 00:22:46,277 --> 00:22:48,386 Gallbladder's dilated with extreme wall thickening. 533 00:22:48,410 --> 00:22:49,822 Looks like it's about to rupture. 534 00:22:49,846 --> 00:22:51,128 Doesn't make sense. 535 00:22:51,152 --> 00:22:54,479 His most severe symptoms have been neurological, 536 00:22:54,503 --> 00:22:55,959 and neither the bruise on his chest 537 00:22:55,983 --> 00:22:58,402 nor the mass in the esophagus was near the gallbladder. 538 00:23:01,902 --> 00:23:03,575 Whatever the cause, 539 00:23:03,599 --> 00:23:05,316 his gallbladder needs to be removed. 540 00:23:05,340 --> 00:23:06,385 Get him prepped. 541 00:23:10,127 --> 00:23:11,607 Charlie? 542 00:23:12,782 --> 00:23:14,262 We need to have a talk. 543 00:23:15,524 --> 00:23:16,762 Please have a seat. 544 00:23:16,786 --> 00:23:18,862 I'd rather stand. When I'm nervous, 545 00:23:18,886 --> 00:23:21,791 sitting makes me feel uncomfortably constrained. 546 00:23:22,415 --> 00:23:23,546 Okay. 547 00:23:23,619 --> 00:23:26,729 You are still a student, 548 00:23:26,753 --> 00:23:29,558 so it is normal for you to be making mistakes. 549 00:23:29,582 --> 00:23:30,968 I haven't made any mistakes. 550 00:23:30,992 --> 00:23:32,865 You ordered a nurse to prep an incorrect 551 00:23:32,889 --> 00:23:34,911 and potentially dangerous medication. 552 00:23:34,935 --> 00:23:36,826 I didn't order her. I made a suggestion. 553 00:23:36,850 --> 00:23:39,176 And you talk too much, 554 00:23:39,200 --> 00:23:41,134 often about things you shouldn't 555 00:23:41,158 --> 00:23:42,745 and other times when you shouldn't be talking... 556 00:23:42,769 --> 00:23:44,790 I learn more by discussing things 557 00:23:44,814 --> 00:23:47,106 rather than reading a textbook or attending a lecture. 558 00:23:47,130 --> 00:23:49,360 I do not lecture, 559 00:23:49,384 --> 00:23:51,362 and I can't do my job 560 00:23:51,386 --> 00:23:53,364 if you are always interrupting... 561 00:23:53,388 --> 00:23:54,863 At times, my speech pattern can be... 562 00:23:54,887 --> 00:23:56,354 - You just did it again. - So did you. 563 00:23:56,379 --> 00:23:59,239 Compulsive speech is a characteristic of our neurodiversity. 564 00:23:59,263 --> 00:24:02,025 Please s-stop talking. 565 00:24:02,049 --> 00:24:04,897 I am being proactive. 566 00:24:04,921 --> 00:24:08,490 I have precisely explained my expectations. 567 00:24:09,883 --> 00:24:12,688 You can't order me to do something I'm incapable of. 568 00:24:12,712 --> 00:24:14,211 I have a disability, and the law... 569 00:24:14,235 --> 00:24:15,778 I am trying to help you. Okay? 570 00:24:21,808 --> 00:24:24,830 I... understand 571 00:24:24,854 --> 00:24:27,449 that ASD is considered a disability. 572 00:24:29,086 --> 00:24:34,091 But I also know that you are capable of being silent. 573 00:24:34,298 --> 00:24:35,711 If you want to remain on this case, 574 00:24:35,735 --> 00:24:38,017 that is what I expect you to do. 575 00:24:38,041 --> 00:24:40,193 You are to observe and nothing else. 576 00:24:40,217 --> 00:24:41,654 Do you understand? 577 00:24:43,569 --> 00:24:44,894 Yes. 578 00:24:46,746 --> 00:24:48,051 Good. 579 00:24:50,409 --> 00:24:55,414 Now you can go join Dr. Wolke and Dr. Kalu in the OR. 580 00:25:09,468 --> 00:25:10,773 We've got adequate debridement 581 00:25:10,798 --> 00:25:12,191 of the distal forearm stump. 582 00:25:12,216 --> 00:25:13,783 This is gonna work. 583 00:25:13,808 --> 00:25:15,164 Good call. 584 00:25:15,796 --> 00:25:18,146 Hubank, any thoughts on what suture to use 585 00:25:18,171 --> 00:25:20,913 for our arterial anastomosis? 586 00:25:21,462 --> 00:25:22,932 I'm not sure. 587 00:25:22,956 --> 00:25:24,237 Take your time. 588 00:25:24,261 --> 00:25:26,508 Look closely at the angle we cut the vessels at. 589 00:25:27,308 --> 00:25:29,068 I guess you could suture the ends 590 00:25:29,092 --> 00:25:30,548 with a 4-0 Prolene 591 00:25:30,572 --> 00:25:32,681 using an end-to-side formation. 592 00:25:32,705 --> 00:25:34,315 Nice idea. 593 00:25:34,516 --> 00:25:37,033 End-to-end anastomosis with parachute technique 594 00:25:37,057 --> 00:25:38,730 would work even better. 595 00:25:42,656 --> 00:25:44,276 I'm Dr. Reznick. 596 00:25:45,239 --> 00:25:48,000 I assume you know that Park and I are in a relationship. 597 00:25:48,024 --> 00:25:49,785 - Actually, no. I didn't... - Don't lie. 598 00:25:49,809 --> 00:25:52,527 I know how fast the gossip gets out around here. 599 00:25:54,117 --> 00:25:55,660 How's Park as a professor? 600 00:25:55,684 --> 00:25:57,575 He's awesome. 601 00:25:57,599 --> 00:25:59,577 Intuitive and supportive without being patronizing. 602 00:25:59,601 --> 00:26:00,796 Stop. 603 00:26:00,820 --> 00:26:02,885 The whole gentle-giant thing is lost on me. 604 00:26:02,909 --> 00:26:06,035 What I respect is totally brutal, blunt honesty. 605 00:26:06,060 --> 00:26:07,322 Think of me like Bill Belichick 606 00:26:07,347 --> 00:26:08,871 but meaner and with better hair. 607 00:26:12,340 --> 00:26:14,223 You're right. I lied. 608 00:26:15,845 --> 00:26:18,369 I was actually told by a bunch of people on my first day 609 00:26:18,394 --> 00:26:20,484 about the relationship that you and Park had. 610 00:26:20,509 --> 00:26:22,902 I was also told how you broke up 611 00:26:22,927 --> 00:26:24,407 then moved back in with one another 612 00:26:24,452 --> 00:26:26,256 before breaking up again, 613 00:26:26,280 --> 00:26:27,562 then got back together recently 614 00:26:27,586 --> 00:26:29,041 because Park wanted to help you 615 00:26:29,065 --> 00:26:31,957 take care of the baby that you wanted to adopt 616 00:26:31,981 --> 00:26:33,437 but were too overwhelmed to do it yourself 617 00:26:33,461 --> 00:26:35,221 while also running the clinical trials. 618 00:26:35,245 --> 00:26:39,182 But I wasn't lying about Park being an awesome professor. 619 00:26:39,206 --> 00:26:41,053 He's been pretty patient and supportive, 620 00:26:41,077 --> 00:26:43,665 despite the fact that I don't want to be a surgeon, 621 00:26:43,689 --> 00:26:44,970 and I faint or hurl 622 00:26:44,994 --> 00:26:46,929 at the sight of any amount of blood. 623 00:26:46,953 --> 00:26:49,584 But he's a great guy. 624 00:26:49,608 --> 00:26:52,436 And I'm sure he'll be a great dad or stepdad 625 00:26:53,012 --> 00:26:54,458 or whatever the label is 626 00:26:54,482 --> 00:26:56,025 that you need him to be for you. 627 00:26:57,528 --> 00:26:59,810 Is that blunt enough? 628 00:27:02,098 --> 00:27:04,106 Yes. Thank you. 629 00:27:07,060 --> 00:27:08,254 But careful. 630 00:27:08,278 --> 00:27:10,387 Nobody likes a smart-ass. 631 00:27:13,414 --> 00:27:16,915 Freeing up the last attachments to the liver. 632 00:27:16,939 --> 00:27:18,700 Using ultrasonic coagulator 633 00:27:18,724 --> 00:27:20,769 for hemostasis on the cystic plate. 634 00:27:23,223 --> 00:27:25,355 What about an atypical presentation of lupus? 635 00:27:25,380 --> 00:27:27,121 ANA and ESR are all normal. 636 00:27:27,146 --> 00:27:29,322 That's why I said atypical. 637 00:27:29,347 --> 00:27:30,914 I mean, what else could cause symptoms 638 00:27:30,939 --> 00:27:32,941 in the esophagus, brain, and gallbladder? 639 00:27:37,663 --> 00:27:39,578 Dr. Kalu, please irrigate 640 00:27:39,603 --> 00:27:41,517 and lead the wound closure. 641 00:27:41,542 --> 00:27:43,567 0 Vicryl sutures on a long needle driver. 642 00:27:43,591 --> 00:27:45,242 Can I feel it? 643 00:27:45,272 --> 00:27:47,424 Sorry. I know I'm not supposed to be talking, 644 00:27:47,448 --> 00:27:51,210 but I've never felt a live organ before. 645 00:27:51,234 --> 00:27:53,778 It needs to go to pathology. 646 00:27:53,802 --> 00:27:56,172 And please don't distract Dr. Kalu. 647 00:27:56,196 --> 00:27:58,327 Oh, she's not distracting me. 648 00:27:58,352 --> 00:27:59,833 It's just gonna sit in the pathology fridge 649 00:27:59,857 --> 00:28:01,163 for a few hours anyway. 650 00:28:03,725 --> 00:28:05,205 Do it quietly. 651 00:28:06,343 --> 00:28:07,920 Thank you, Dr. Murphy! 652 00:28:10,210 --> 00:28:11,733 Sponge here so I can see better. 653 00:28:13,199 --> 00:28:14,718 Need another 0 Vicryl suture. 654 00:28:15,998 --> 00:28:19,064 And I'll take the Metzenbaum scissors. 655 00:28:19,088 --> 00:28:20,979 That's enough. Put it back now. 656 00:28:21,003 --> 00:28:23,503 Wait. Just give me a... Ow! 657 00:28:23,527 --> 00:28:27,682 I think a needle got left in the organ. 658 00:28:27,706 --> 00:28:29,379 That's not possible. 659 00:28:29,403 --> 00:28:32,425 We never suture inside the gallbladder. 660 00:28:32,449 --> 00:28:33,992 I know I felt... felt it. 661 00:28:34,016 --> 00:28:36,092 Ow! Okay. There is something sharp in here. 662 00:28:36,116 --> 00:28:39,781 Uh, maybe it's an edge of a gallstone? 663 00:28:43,320 --> 00:28:44,365 I'm coming. 664 00:28:46,674 --> 00:28:47,936 Okay. 665 00:28:50,699 --> 00:28:53,136 There is something protruding. 666 00:28:53,161 --> 00:28:54,467 Small forceps. 667 00:29:06,266 --> 00:29:07,678 Is it a hair? 668 00:29:07,702 --> 00:29:08,921 No. 669 00:29:09,965 --> 00:29:11,441 It's a metal wire. 670 00:29:14,948 --> 00:29:18,386 Inside the gallbladder? How is that even possible? 671 00:29:18,411 --> 00:29:20,884 It was definitely not part of a surgical tool. 672 00:29:20,909 --> 00:29:23,137 Well, I read a case a few years ago. 673 00:29:23,162 --> 00:29:25,904 A patient got a metal wire from a barbecue grill brush 674 00:29:25,938 --> 00:29:27,480 lodged in his intestines. 675 00:29:27,504 --> 00:29:28,786 When we were doing surgical prep, 676 00:29:28,810 --> 00:29:30,353 Phipps said the last thing he'd eaten 677 00:29:30,377 --> 00:29:32,485 was a cheeseburger at his frat's barbecue. 678 00:29:32,509 --> 00:29:34,487 The disappearing mass in his esophagus 679 00:29:34,511 --> 00:29:36,359 could've been caused by that wire lodged there 680 00:29:36,383 --> 00:29:38,056 before it traversed the stomach wall 681 00:29:38,080 --> 00:29:39,928 and ended up in the gallbladder. 682 00:29:39,952 --> 00:29:42,757 That would be amazing. 683 00:29:42,781 --> 00:29:45,893 It wouldn't explain his neurological issues. 684 00:29:46,436 --> 00:29:48,312 Well, that could still be from the slaps. 685 00:29:50,170 --> 00:29:52,912 But either way, we never would've noticed it 686 00:29:52,937 --> 00:29:54,808 without Charlie's curiosity, so... 687 00:29:54,836 --> 00:29:56,945 Yeah. Nice catch. 688 00:29:56,969 --> 00:30:00,949 It was more of an accident than a catch, but thank you. 689 00:30:13,768 --> 00:30:17,293 We need the strongest magnet we have. Stat! 690 00:30:22,490 --> 00:30:23,839 What are you doing? 691 00:30:23,864 --> 00:30:25,910 I'm teaching Steve how to run the table 692 00:30:25,935 --> 00:30:27,676 while, simultaneously, Barry and I 693 00:30:27,701 --> 00:30:28,963 are trying to figure out how to lower 694 00:30:28,988 --> 00:30:31,120 the overhead cost of the clinic. 695 00:30:31,220 --> 00:30:32,787 Try those. 696 00:30:34,223 --> 00:30:38,638 "The poop fridge equals presidential priority"? 697 00:30:38,662 --> 00:30:40,249 You see, Steve? I told you, 698 00:30:40,273 --> 00:30:42,120 alliteration comes off as pompous. 699 00:30:42,144 --> 00:30:44,470 He prefers "poop" to "fecal samples." 700 00:30:44,494 --> 00:30:46,646 I'm so glad you're enjoying yourself. 701 00:30:46,670 --> 00:30:49,631 Meanwhile, Gail is coming down on me for things I didn't do. 702 00:30:49,656 --> 00:30:50,962 Hey, it's my signature on the thing. 703 00:30:50,987 --> 00:30:52,684 If Gail doesn't like it, she can come to me. 704 00:30:52,709 --> 00:30:54,232 She knows you don't listen to her. 705 00:30:54,257 --> 00:30:58,305 So, now, every time she has a problem, she comes to me. 706 00:30:58,378 --> 00:31:01,096 Well, I can think of one way to solve that problem. 707 00:31:01,120 --> 00:31:02,793 Aaron, I don't have time for these games. 708 00:31:02,817 --> 00:31:04,621 You don't have time because you're constantly 709 00:31:04,645 --> 00:31:06,362 trying to placate the damn board. 710 00:31:06,386 --> 00:31:10,310 All they want is to feel recognized and respected. 711 00:31:10,558 --> 00:31:11,646 All they want, they don't know it, 712 00:31:11,671 --> 00:31:13,107 but what they really want is a well-run, 713 00:31:13,132 --> 00:31:14,220 top-flight hospital. 714 00:31:14,290 --> 00:31:16,118 Well, all Gail really wants now 715 00:31:16,143 --> 00:31:19,016 is a full audit of all expenses for the past year. 716 00:31:19,041 --> 00:31:20,607 Well, that's a colossal waste of time. 717 00:31:20,632 --> 00:31:22,243 Well, I agree. 718 00:31:22,268 --> 00:31:24,992 And after a 30-minute discussion, 719 00:31:25,017 --> 00:31:27,063 I got Gail to agree as well. 720 00:31:27,088 --> 00:31:29,568 This division of labor isn't working, 721 00:31:29,593 --> 00:31:32,279 so from now on, you can deal with Gail. 722 00:31:32,304 --> 00:31:33,809 Fine. Send her on over. 723 00:31:33,834 --> 00:31:36,044 Just tell her to bring cash. We don't take markers here. 724 00:31:37,959 --> 00:31:38,960 He's an ass. 725 00:31:41,564 --> 00:31:42,801 Not an ass. 726 00:31:48,736 --> 00:31:50,346 What are you gonna do with that? 727 00:31:50,371 --> 00:31:52,112 It may be slightly painful, 728 00:31:52,137 --> 00:31:54,487 but it's much safer than another surgery. 729 00:31:54,564 --> 00:31:57,350 Open wide and say, "Ahh." 730 00:31:59,004 --> 00:32:00,092 Ahh. 731 00:32:17,326 --> 00:32:18,913 That was in my tonsil? 732 00:32:18,937 --> 00:32:22,612 Yes, it caused an infection and fluid build-up in your ear 733 00:32:22,636 --> 00:32:24,222 and irritated your carotid artery, 734 00:32:24,246 --> 00:32:27,137 which caused the neurological symptoms. 735 00:32:27,597 --> 00:32:31,863 You shouldn't ever clean a cooking surface with a wire brush, 736 00:32:32,351 --> 00:32:34,082 or let someone slap you, 737 00:32:34,269 --> 00:32:37,235 or shoot you with a foam shotgun slug. 738 00:32:37,259 --> 00:32:39,063 That is so cool. 739 00:32:39,087 --> 00:32:41,943 Yes. It is. 740 00:32:46,094 --> 00:32:47,724 I can't wait to get back to work. 741 00:32:47,748 --> 00:32:49,247 I wouldn't rush it. 742 00:32:49,271 --> 00:32:51,467 It's gonna take time and plenty of physical therapy 743 00:32:51,491 --> 00:32:53,058 to get your function back. 744 00:32:53,413 --> 00:32:55,427 I don't mean so I can work. 745 00:32:55,451 --> 00:32:58,387 I mean so I can fire that damn butcher. 746 00:33:03,590 --> 00:33:05,350 The new CTs are all clear. 747 00:33:05,374 --> 00:33:08,266 No more wires floating around. 748 00:33:08,290 --> 00:33:09,833 And you might want to take it easy 749 00:33:09,857 --> 00:33:11,640 with the frat parties for a while. 750 00:33:12,120 --> 00:33:14,476 I'm actually not that big a partier. 751 00:33:14,818 --> 00:33:16,971 I grew up an only child, so I always wanted brothers, 752 00:33:16,995 --> 00:33:18,494 and now I have like 50 of them. 753 00:33:21,521 --> 00:33:23,777 They've helped me through all sorts of stuff. 754 00:33:25,465 --> 00:33:28,598 A lot of the crazier stuff they do isn't my thing. 755 00:33:28,623 --> 00:33:30,147 Um... 756 00:33:30,172 --> 00:33:33,161 But I feel like I owe it to them to participate. 757 00:33:34,836 --> 00:33:36,873 To be there for them like they were for me. 758 00:33:37,995 --> 00:33:39,344 That's very generous of you. 759 00:33:48,983 --> 00:33:49,984 You're doing great. 760 00:33:51,096 --> 00:33:52,619 No, I'm not. 761 00:33:52,644 --> 00:33:54,080 Can't even watch a surgery 762 00:33:54,105 --> 00:33:56,412 from another room without dry-heaving. 763 00:33:56,437 --> 00:33:57,742 That patient would've bled out in the ER 764 00:33:57,774 --> 00:33:59,535 if you hadn't helped break open the grinder. 765 00:33:59,559 --> 00:34:02,065 Yeah. I make a great crowbar. 766 00:34:05,290 --> 00:34:07,154 Surgery is always a team effort. 767 00:34:09,036 --> 00:34:10,777 I'm happy to have you on my team. 768 00:34:16,619 --> 00:34:17,925 Dr. Park... 769 00:34:39,512 --> 00:34:40,750 Dr. Murphy, can I talk to you? 770 00:34:40,774 --> 00:34:43,883 I am trying to get home to put Steve down. 771 00:34:43,907 --> 00:34:45,317 This won't take long. 772 00:34:45,342 --> 00:34:47,344 I just wanted to tell you how impressed I was with you, 773 00:34:47,369 --> 00:34:49,675 how you were able to move that wire fragment 774 00:34:49,700 --> 00:34:51,137 from the tonsil without surgery. 775 00:34:51,176 --> 00:34:52,414 It was very ingenious. 776 00:34:52,438 --> 00:34:53,632 And I also wanted to thank you 777 00:34:53,656 --> 00:34:55,417 for letting me observe you in surgery. 778 00:34:55,441 --> 00:34:56,616 I learned a whole lot. 779 00:34:57,617 --> 00:34:59,638 Oh. That's good. 780 00:34:59,662 --> 00:35:01,099 And you're welcome. 781 00:35:03,536 --> 00:35:06,036 When I found the first wire in the gallbladder, 782 00:35:06,060 --> 00:35:08,541 it saved both the patient and us a lot of time. 783 00:35:11,423 --> 00:35:14,078 That is true. 784 00:35:14,199 --> 00:35:16,853 That's a big contribution from a medical student, don't you think? 785 00:35:18,641 --> 00:35:21,731 I believe your intense curiosity 786 00:35:21,756 --> 00:35:23,323 and attention to organization 787 00:35:23,348 --> 00:35:26,177 will one day make you an excellent pathologist. 788 00:35:27,352 --> 00:35:29,069 I don't want to be a pathologist. 789 00:35:29,095 --> 00:35:31,097 I understand, 790 00:35:31,470 --> 00:35:33,776 but given your aversion to textbooks, 791 00:35:33,801 --> 00:35:35,238 your extreme impatience... 792 00:35:35,263 --> 00:35:38,232 I'm not impatient. I'm an assertive, dedicated, hard worker. 793 00:35:38,256 --> 00:35:41,791 And your refusal to acknowledge and learn from your mistakes... 794 00:35:42,071 --> 00:35:43,899 I just want to be a surgeon. 795 00:35:44,707 --> 00:35:45,708 Like you. 796 00:35:48,390 --> 00:35:51,219 Oh. You're nothing like me. 797 00:35:53,325 --> 00:35:55,845 And I don't think you should ever be a surgeon. 798 00:36:09,130 --> 00:36:11,350 Hey, about to head out to Elizabeth's party. 799 00:36:11,375 --> 00:36:12,593 I just wanted to say goodbye. 800 00:36:14,021 --> 00:36:15,457 Should be home by 11:00. 801 00:36:18,761 --> 00:36:19,893 Wait! 802 00:36:23,666 --> 00:36:24,928 I'm coming with you. 803 00:36:40,313 --> 00:36:42,358 Sure this elevator's big enough for the both of us? 804 00:36:42,383 --> 00:36:44,820 - I'm not sure the hospital is. - Well, that's fine. 805 00:36:44,845 --> 00:36:47,413 I'll resign my share of the co-presidency. 806 00:36:47,596 --> 00:36:49,293 Not if I beat you to it. 807 00:36:54,583 --> 00:36:55,584 Hey, Charlie. 808 00:36:59,715 --> 00:37:01,786 Are you getting out or just taking a ride? 809 00:37:03,462 --> 00:37:05,415 Charlie, are you okay? 810 00:37:06,485 --> 00:37:07,703 No. 811 00:37:14,057 --> 00:37:16,819 Charlie should not be upset. 812 00:37:16,843 --> 00:37:19,638 I told her she would make an excellent pathologist. 813 00:37:19,663 --> 00:37:22,753 Well, you've only worked with her for two weeks. 814 00:37:22,778 --> 00:37:25,259 And isn't she hoping to be a surgeon? 815 00:37:25,284 --> 00:37:27,938 You said that I should be proactive. 816 00:37:28,771 --> 00:37:30,398 Proactive? 817 00:37:30,944 --> 00:37:32,661 That's not proactive. That's hurtful. 818 00:37:32,685 --> 00:37:34,315 Maybe it's not what you meant, but... 819 00:37:34,339 --> 00:37:36,142 I was telling the truth. 820 00:37:36,166 --> 00:37:37,883 I tried to be patient, like you said, 821 00:37:37,907 --> 00:37:39,491 but that also did not work. 822 00:37:40,401 --> 00:37:43,578 We gave you some conflicting advice, 823 00:37:43,603 --> 00:37:45,518 which clearly didn't help matters. 824 00:37:45,567 --> 00:37:49,460 So maybe now, together, we can find a better strategy. 825 00:37:49,484 --> 00:37:52,057 Charlie has a unique learning style... 826 00:37:52,081 --> 00:37:53,923 Why do I need a strategy? 827 00:37:55,100 --> 00:37:58,059 I am a good surgeon and a good teacher. 828 00:37:58,084 --> 00:38:00,260 Good teachers adjust to their students, Shaun. 829 00:38:00,408 --> 00:38:01,994 Maybe there's something you could do. 830 00:38:02,018 --> 00:38:03,996 Maybe there's something you should do. 831 00:38:04,020 --> 00:38:06,304 I have already made adjustments. 832 00:38:06,329 --> 00:38:07,635 Okay. Make some more. 833 00:38:07,660 --> 00:38:08,899 - Why? - Why? 834 00:38:08,924 --> 00:38:10,699 - Because it's the... - 'Cause she needs... 835 00:38:10,723 --> 00:38:12,732 Because she needs them, like you did. 836 00:38:12,757 --> 00:38:15,195 No one ever made things easier for me. 837 00:38:15,554 --> 00:38:18,663 Or went out of their way to make accommodations for me. 838 00:38:18,687 --> 00:38:20,323 Shaun. 839 00:38:20,776 --> 00:38:23,779 I'm sure you believe that, but that is simply not true. 840 00:38:25,634 --> 00:38:28,942 Dr. Melendez put me on scut work 841 00:38:28,967 --> 00:38:31,143 and threatened to fire me. 842 00:38:31,178 --> 00:38:33,776 Dr. Han transferred me to pathology, 843 00:38:33,801 --> 00:38:34,976 but I never gave up, 844 00:38:35,001 --> 00:38:36,481 and I learned how to accept criticism 845 00:38:36,506 --> 00:38:38,073 and improve my communication skills 846 00:38:38,098 --> 00:38:40,135 in order to become a good surgeon. 847 00:38:41,406 --> 00:38:42,818 Han and Melendez, 848 00:38:42,842 --> 00:38:46,561 and I'm sure many other people, were wrong about you. 849 00:38:46,585 --> 00:38:48,560 But that doesn't mean you should treat Charlie... 850 00:38:48,585 --> 00:38:51,675 I am not wrong about Charlie. 851 00:38:51,798 --> 00:38:53,626 She should not be a surgeon. 852 00:38:53,766 --> 00:38:54,917 You know what, Shaun? 853 00:38:54,941 --> 00:38:56,725 You sound like Han now. 854 00:38:56,891 --> 00:38:58,371 You're being unfair. 855 00:39:05,778 --> 00:39:06,779 No. 856 00:39:08,955 --> 00:39:10,173 I am an attending. 857 00:39:11,687 --> 00:39:13,123 It is my decision 858 00:39:13,148 --> 00:39:16,130 how to manage the medical students on my cases. 859 00:39:18,493 --> 00:39:19,712 I am going home now. 860 00:39:28,496 --> 00:39:29,584 That went well. 861 00:39:30,846 --> 00:39:33,153 Yeah. 862 00:39:34,887 --> 00:39:36,232 Straight pool or 8 ball? 863 00:39:38,071 --> 00:39:39,507 You can break. 864 00:39:41,466 --> 00:39:42,747 Okay. 865 00:39:47,907 --> 00:39:49,450 This is gonna be hilarious. 866 00:39:49,474 --> 00:39:51,669 And from my favorite uncle, Jerome, 867 00:39:51,693 --> 00:39:53,956 and his adorable boyfriend, Asher... 868 00:39:54,249 --> 00:39:55,903 Is this what I think it is? 869 00:39:57,605 --> 00:39:58,693 It is! 870 00:39:58,718 --> 00:40:00,416 I love it! 871 00:40:00,441 --> 00:40:01,920 - Thank you, thank you, thank you! - I'm so glad you like it. 872 00:40:03,399 --> 00:40:05,988 You bastard. She's not wearing that in this house. 873 00:40:06,012 --> 00:40:07,883 Yes, I am. 874 00:40:09,494 --> 00:40:10,688 Go, Kings, baby! 875 00:40:10,712 --> 00:40:11,776 Yes! Whoo! 876 00:40:11,800 --> 00:40:13,343 You like them. We got it. 877 00:40:13,367 --> 00:40:16,738 Boom, boom, boom, boom, boom! 878 00:40:16,762 --> 00:40:18,870 That was good! Yeah! 879 00:40:32,051 --> 00:40:33,400 I told the attorney that if I die, 880 00:40:33,425 --> 00:40:35,079 I want you to be Eden's guardian. 881 00:40:35,361 --> 00:40:37,798 I know. You already told me that. 882 00:40:38,174 --> 00:40:39,262 I was lying. 883 00:40:41,102 --> 00:40:42,626 But this time, I'm not. 64373

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